Texas Great Pyrenees Rescue

This questionnaire is necessary to determine your qualification as a prospective adoptive home for one of our dogs. Please complete the following questions in as much detail as possible so that we can quickly process your application.

Please note: Applications cannot be processed without all questions being answered completely. If you submit an application with missing information, there will be a delay in processing, It is our goal to find the best possible match for our dogs and their new families. By completing this application and providing a vet reference, you are giving Texas Great Pyrenees Rescue express authorization to contact and confirm vet care of your current animals.

Application Type

I am applying to:

Foster

Volunteer

Adopt a House Pet (a pet in my home)

Adopt a Livestock Guardian Dog (a dog who lives in my fields protecting my livestock)

Contact Information

First Name::

Last Name:

Suffix:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Email:

Primary Phone:

Work Phone:

Cell Phone:

Occupation:

Caring for Your Great Pyrenees

Will a Spouse or Domestic Partner share the responsibility of caring for your adopted dog?

Yes

Do you currently own any dogs or have you owned dogs within the last 5 years?

Yes

Spouse or Domestic Partner's Contact Information

First Name::

Last Name:

Email:

Work Phone:

Occupation:

Pet Information

Pet Name	Breed	Age or Date Of Birth	Adoption Date	Current Status	Gender	Altered




















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Veterinarian Information

Have you taken your dogs to a veterinarian within the last 5 years?

Yes

Veterinary Clinic #1

Clinic Name::

Phone Number:

First Name::

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Veterinary Clinic #2

Clinic Name::

Phone Number:

First Name::

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Veterinary Clinic #3

Clinic Name::

Phone Number:

First Name::

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Veterinary Clinic #4

Clinic Name::

Phone Number:

First Name::

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Veterinary Clinic #5

Clinic Name::

Phone Number:

First Name::

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

More...

Personal References

Only One Reference can be a Family Member

Name	Address	Phone	Relationship

Children

Please tell us about all children that live in or are frequent visitors to your household.

Name	Age	Comments












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Adoption Process

Are you willing to let us do a homecheck?

Yes

What is your date of birth?

Please describe what characteristics you are looking for in a Great Pyrenees

Household Information

I live in a(n)

Do you have a fenced yard?

Yes

If yes, what type of fencing, what height?

How long have you lived at your current address?

Is anyone in the household allergic to dogs?

Yes

Do you have children or do children frequently visit your home?

Yes

If yes, age range?

Are you open to adopting a mixed breed Pyr?

Are you willing to travel to get your adopted pyr?

Yes

If you have reviewed our available dogs, please list the name(s) of the pyr(s) you may be interest in.

If renting, please provide contact information for Landlord

Name

Address

Phone

Care for Adopted Pyr

Hours a day your Pyr be left alone

Where will your Pyr stay while you are away from home?

Where will your Pyr sleep?

Where will your Pyr stay while you are on vacation?

What will you do with your Pyr if you move?

What training method(s) will you use?

Adoption Application

Application Type

Contact Information

Caring for Your Great Pyrenees

Spouse or Domestic Partner's Contact Information

Pet Information

Veterinarian Information

Personal References

Children

Adoption Process

Household Information

Care for Adopted Pyr

Never be afraid to do what's right especially if the well being of a person or animal is at stake. Society's punishments are small compared to the wounds we inflict on our souls when we look the other way
--Martin Luther King Jr

Adoption Application

Application Type

Contact Information

Caring for Your Great Pyrenees

Spouse or Domestic Partner's Contact Information

Pet Information

Veterinarian Information

Personal References

Children

Adoption Process

Household Information

Care for Adopted Pyr

Never be afraid to do what's right especially if the well being of a person or animal is at stake. Society's punishments are small compared to the wounds we inflict on our souls when we look the other way --Martin Luther King Jr

Never be afraid to do what's right especially if the well being of a person or animal is at stake. Society's punishments are small compared to the wounds we inflict on our souls when we look the other way
--Martin Luther King Jr